Start your request to join

Please use the digital form below to begin the credentialing process.
We also offer a PDF version you can complete and email to us: contracting@healthoptions.org

Join our network

Thank you for your interest in becoming a participating provider in Community Health Options’ Provider network. We will respond within 90 days upon receipt of your completed form. This form will assist your contract manager in assessing your candidacy as a Community Health Options participating provider.